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Can Trump Implode the Obamacare Insurance Exchanges by Killing the Cost Sharing Subsidies?
He claims he can. Here ' s my take from last night ' s PBS NewsHour with Judy Woodruff. (Source: Health Care Policy and Marketplace Review)
Source: Health Care Policy and Marketplace Review - April 25, 2017 Category: Health Management Authors: ROBERT LASZEWSKI Source Type: blogs

Is Anthem Exiting the Obamacare Exchanges? The Trump Administration Needs to Decide if They Are In or Out
Bloomberg is out with a report that Anthem may exit most of their Obamacare exchange markets next year: Anthem, Inc. is likely to pull back from Obamacare ’s individual insurance markets in a big way for next year, according to a report from analysts who said they met with the company, a move that could limit coverage options for consumers at a politically crucial time for the law. Anthem “ (Source: Health Care Policy and Marketplace Review)
Source: Health Care Policy and Marketplace Review - March 30, 2017 Category: Health Management Authors: ROBERT LASZEWSKI Source Type: blogs

Trump and the GOP Should Face It: There's Only One Option Left to Fix Health Care
I ' ve been saying for years that Obamacare will never be " repealed and replaced, " but it will have to be fundamentally fixed, and that fix will inevitably have to be bipartisan. But with the developments of the past week, I learned something new: Trump and the Republican leadership are ideologically closer to most Democrats than they are to their own far right wing in the House and Senate. See (Source: Health Care Policy and Marketplace Review)
Source: Health Care Policy and Marketplace Review - March 26, 2017 Category: Health Management Authors: ROBERT LASZEWSKI Source Type: blogs

Will President Trump Sign a New Health Insurance Bill in 2017?
See my comments on CNBC (Source: Health Care Policy and Marketplace Review)
Source: Health Care Policy and Marketplace Review - March 15, 2017 Category: Health Management Authors: ROBERT LASZEWSKI Source Type: blogs

Let ’s Not Let the Republicans Make the Obamacare Replacement Debate About the Congressional Budget Office—Fewer People Will Be Covered and Many Will See Big Cost Increases
If you carve a huge chunk of revenue out of Obamacare and shift more subsidies to the middle class it should not be a surprise that the lower income will pay the price The Congressional Budget Office (CBO) has estimated that 14 million of people would lose coverage in 2018, 21 million in 2020, and 24 million in 2026 if the House Republican plan is allowed to significantly amend the Affordable (Source: Health Care Policy and Marketplace Review)
Source: Health Care Policy and Marketplace Review - March 12, 2017 Category: Health Management Authors: ROBERT LASZEWSKI Source Type: blogs

The House Republican Obamacare Replacement Plan: Mind Boggling
It won ' t work. Obamacare works for the poorest that have affordable health insurance because all of the program ' s subsidies tilt in their favor. Obamacare doesn ' t work well for the working and middle class who get much less support ––particularly those who earn more than 400% of the federal poverty level, who constitute 40% of the population and don ' t get any help. Because so many don ' t do well (Source: Health Care Policy and Marketplace Review)
Source: Health Care Policy and Marketplace Review - March 6, 2017 Category: Health Management Authors: ROBERT LASZEWSKI Source Type: blogs

The Cockroach Proposal ––Selling Insurance Across State Lines
I call support for giving insurance companies the ability to sell insurance across state lines the cockroach proposal. As bad as it is, you just can ' t kill the damn thing! Last night, President Trump once again listed this idea in his address to Congress as one of his health care talking points. Here is a post about the idea I published on this blog a year ago in the midst of the Republican (Source: Health Care Policy and Marketplace Review)
Source: Health Care Policy and Marketplace Review - February 28, 2017 Category: Health Management Authors: ROBERT LASZEWSKI Source Type: blogs

Obamacare's Insurance Exchanges Are Self-Destructing ––and That is Why Obamacare Needs to Be Fixed in 2017
Obamacare was self-destructing the day before Donald Trump was elected, and the Republican victory, with their talk of " repeal and replace, " has only accelerated things. Aetna ' s CEO recently said that the Obamacare insurance exchanges are in a " death spiral. " Cynthia Cox, of the " non-partisan " Kaiser Family Foundation responded that the insurance exchanges " are not really in a death spiral yet. (Source: Health Care Policy and Marketplace Review)
Source: Health Care Policy and Marketplace Review - February 27, 2017 Category: Health Management Authors: ROBERT LASZEWSKI Source Type: blogs

Rethink'repeal and replace '
This is an op-ed that I authored in USA Today ––two years ago. Wouldn ' t change a word of it: Rethink ' repeal and replace ' : Column Robert Laszewski 7:29 PM ET January 14, 2015 Obey health care customers, not political orthodoxy,   when proposing Obamacare fixes The Republicans seem determined to " repeal and replace " Obamacare. They simply cannot bring themselves to consider fixing what they (Source: Health Care Policy and Marketplace Review)
Source: Health Care Policy and Marketplace Review - February 26, 2017 Category: Health Management Authors: ROBERT LASZEWSKI Source Type: blogs

Reports of the Demise of Obamacare Repeal and Replace Are Greatly Exaggerated
Many recent press reports have centered around the notion that Republicans are stuck in the mud trying to get their repeal and replace promises moving. That line appeared to be reinforced over the weekend when President Trump said, in a pre-Super Bowl interview, that the process could draw out into next year. My sense is that what Trump was talking about was the fact that the whole process, that (Source: Health Care Policy and Marketplace Review)
Source: Health Care Policy and Marketplace Review - February 7, 2017 Category: Health Management Authors: ROBERT LASZEWSKI Source Type: blogs

How Republicans and Democrats Could Come to a Bipartisan Compromise Over Obamacare
It ' s not a question of whether or not Republicans and Democrats will come to a compromise over replacing Obamacare. The Republican attempts to repeal and replace aside, the law is unsustainable in its current form. Since it will take 60 Senate votes, and the Republicans only have 52 seats, there is no way we can get to a solution to the Obamacare conundrum without a bipartisan compromise. So, (Source: Health Care Policy and Marketplace Review)
Source: Health Care Policy and Marketplace Review - January 23, 2017 Category: Health Management Authors: ROBERT LASZEWSKI Source Type: blogs

Is the Trump Administration on Its Way to Its Own " If You Like Your Health Plan You Can Keep It " Fiasco?
On Friday night the administration issued an executive order giving Trump administration appointees enormous flexibility in modifying how the Obamacare individual health insurance market works. Specifically, President Trump has given his administration the power " to waive, defer, grant exemptions from or delay the implementation of any provision or requirement of [Obamacare]. " The (Source: Health Care Policy and Marketplace Review)
Source: Health Care Policy and Marketplace Review - January 20, 2017 Category: Health Management Authors: ROBERT LASZEWSKI Source Type: blogs

" Repeal and Replace " Obamacare: How Will All of This Sort Itself Out?
Will the Republicans Follow Through on Their Promise to Repeal Obamacare? Yes. You have probably been reading press stories that bring into question whether or not Republicans will actually keep their campaign promise to " repeal " the Affordable Care Act (ACA). In fact, there is much discussion going on among Congressional Republicans about repealing key funding elements of the ACA as part of a (Source: Health Care Policy and Marketplace Review)
Source: Health Care Policy and Marketplace Review - January 16, 2017 Category: Health Management Authors: ROBERT LASZEWSKI Source Type: blogs

" Repeal and Replace " Obamcare: How Will All of This Sort Itself Out?
Will the Republicans Follow Through on Their Promise to Repeal Obamacare? Yes. You have probably been reading press stories that bring into question whether or not Republicans will actually keep their campaign promise to " repeal " the Affordable Care Act (ACA). In fact, there is much discussion going on among Congressional Republicans about repealing key funding elements of the ACA as part of a (Source: Health Care Policy and Marketplace Review)
Source: Health Care Policy and Marketplace Review - January 16, 2017 Category: Health Management Authors: ROBERT LASZEWSKI Source Type: blogs

Fixing Health Insurance Reform is a Zero Sum Game: The Only Way Republicans Can Lower Costs is to Provide Less Coverage ––Wrong!
Don ' t Underestimate the Value of Rearranging the Deck Chairs Anna Wilde Mathews and Louise Radnofsky have a well-done story in yesterday ' s Wall Street Journal. They point out that a relatively few sicker people account for most of the cost of care: Congress has begun the work of replacing the Affordable Care Act, and that means lawmakers will soon face the thorny dilemma that confronts every (Source: Health Care Policy and Marketplace Review)
Source: Health Care Policy and Marketplace Review - January 12, 2017 Category: Health Management Authors: ROBERT LASZEWSKI Source Type: blogs